Confidential Bequest Notification Form

Thank you for supporting the future of your UU Fellowship! This information will be saved in a secure confidential location. Please contact the Board of Trustees (board@uulacrosse.org) if you have any questions or need help filling out the form.

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Your Name *
Your Birthdate *
Your Email
Your Phone Number *
Name (Optional: If Bequest is for Two People)
Birthdate 
Email
Phone Number

Future Contact (personal representative, attorney, financial advisor, executor) for my/our gift:

Name *
Relationship *
Phone Number *
Email
Type of gift you wish to share: *
Required
Type of Bequest
Company Contact Information
Type of Bequest (Optional: Additional Bequest)
Company Contact Information

Is there anything else you would like us to know about your estate plans concerning UU La Crosse?

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This form was created inside of Unitarian Universalist Fellowship of La Crosse.